| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.31 | $101.00 | $119.20 | |
Aetna
| Professional | $51.31 | $51.31 | $51.31 | |
CareFirst
| Professional | $51.33 | $51.33 | $205.83 | |
Cigna
| Facility | $86.71 | $163.53 | $186.89 | |
Cigna
| Professional | $54.05 | $54.05 | $59.40 | |
Kaiser Permanente
| Professional | $59.01 | $104.30 | $104.30 | |
United
| Professional | $21.55 | $30.79 | $81.58 |